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HUMAN RELATIONS SERVICES
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HOW
MIND CONSULTANCY WORKS
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Techniques and theories
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Although there exists a profusion of theories, or 'schools', of psychotherapy, none is more likely than another to help a person cope successfully with functional mental disorder!(1) Because no two people are the same, standardised forms of help cannot work for everyone and the process needs to be designed to meet the particular needs of every client. Pace Sigmund Freud, psychotherapy, whatever its form, is a craft, not a science. Some
of the schools include: Although mind consultants may suggest using these techniques if they seem likely to help in some way, assertions that a long training in any of them ensures a consultant's competence and trustworthiness are misleading and irresponsible.
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'Non-specific' factors |
Since 1936 at least, reputable psychotherapists have acknowledged that the most
efficacious factors for achieving a satisfactory outcome are ‘non-specific’ and common to all the 'schools'.(2)
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Client factors |
The readiness of clients to help themselves depends on:
Another important factor is clients' 'world-view'; their mental picture of their social environment and how they fit into it. Attempts by a consultant to help and encourage clients will achieve a satisfactory outcome only if their clients are prepared to practise what they discover from working with the consultant.
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'Therapist factors |
Almost as important
is the ability of consultants to foster a
conducive working relationship, or ‘therapeutic alliance’.
The quality of that alliance is largely determined by the consultants' interpersonal, or ‘people’,
skills — such as:
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The following statements indicate what clients may expect from
their
consultants.
'The attitude of the
psychotherapist is infinitely more important
than the theories and methods of
psychotherapy'. Carl Gustav Jung(4)
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. . . and, in order to get maximum benefit from the consultancy, clients should be ready to answer such questions as:
1. What is
troubling me?
2. What is troubling me most at present?
3. What am I trying to do about it?
4. What progress am I making?
5. What seems most likely to help?
(1) L.
Luborsky, B. Singer & L. Luborsky: 'Comparative studies of psychotherapies: is it true
that "everybody has won and all must have prizes"?' pp
995-1008 Archives of General Psychiatry 32 (1975); D.A. Shapiro & D. Shapiro: 'Meta-analysis of
comparative therapy outcome studies: a republication and
refinement' pp 581-604 Psychological Bulletin 92 (1982)"
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(2) Saul
Rosenzweig: 'Some implicit common factors in diverse methods of
psychotherapy' pp 412-415 American Journal of Orthopsychiatry 6 (1936)
and ) G. Watson: 'Areas of agreement in psychotherapy' pp 698-709 American
Journal of Orthopsychiatry 10 (1940)
[Back to text]
(3)
Michael J. Lambert 'Psychotherapy outcome research' pp
94-129 in Handbook of Psychotherapy Integration [John C.
Norcross & Marvin R. Goldfried (eds)] Basic Books, New York
1992
[Back to text]
(4) p. 281
Modern Man in Search of a
Soul. Routledge & Kegan Paul, London 1933
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(5)
'The Realities of Practical
Psychotherapy' p. 329 in The Practice of Psychotherapy Routledge
& Kegan Paul, London 1966
[Back to text]
(6)
p. 49
Illusion and
Reality J.M. Dent & Sons, London 1984
[Back to text]
(7) p. 81
Person to Person (co-author
B. Stevens) Souvenir Press, London 1973
[Back to text]
(8)
p. 137
Psychotherapy &
Existentialism Penguin, Harmondsworth 1973
[Back to text]
(9) 'Training in psychotherapy
integration' pp 576-577 in Handbook of Psychotherapy
Integration [John C. Norcross & Marvin R. Goldfried (eds)] Basic Books, New York 1992
[Back to text]
(10) p. 401
Existential
Psychotherapy Basic Books, New York 1980
[Back to text]
(11) p. 48
The Discovery of the Unconscious. Basic
Books, New York 1970
[Back to text]
(12) Interviewed by Tony Hobbs ['The Rogers
Interview' Changes vol. 4, no 4, 1986, p. 255]
[Back to text]
(13) p. 22
Changes
vol. 3, no 1 (1984)
[Back to text]
(14) p. 670
Encyclopedia of Family
Health The Royal Society of Medicine, London 1995
[Back to text]
(15) p. 248
The Act of Creation
Hutchinson
& Co., London 1964
[Back to text]
L. Luborsky, B. Singer & L. Luborsky: 'Comparative studies of psychotherapies: is it true that everyone has won and all must have prizes?' pp 995-1008 Archives of General Psychiatry 32 (1975)
Hans Strupp & Suzanne Hadley: 'Specific versus non-specific factors in psychotherapy' pp 1125-1136 Archives of General Psychiatry 36 (1979)
D.M. Stein & M.J. Lambert: 'On the relationship between therapist experiences and psychotherapeutic outcomes' pp 1-16 Clinical Psychology Review 4 (1984)
J.A. Hattie, C.F. Sharpley, H.J. Rogers: 'Comparative effectiveness of professional and paraprofessional helpers' pp 534-41 Psychological Bulletin 95 (1984)
D. E. Orlinsky & K.I. Howard: 'Process and outcome in psychotherapy' in Handbook of Psychotherapy and Behaviour Change S. L.Garfield & A.E. Bergin (eds) 3rd edition, Wiley New York 1986
The Heart and Soul of Change: What Works in Therapy by Mark A. Hubble, Barry L. Duncan, Scott D. Miller. American Psychology Association, Washington DC 1999
The Great Psychotherapy Debate by Bruce E. Wampold. Lawrence Erlbaum Associates, Mahwah, New Jersey 2001
The
Heroic Client: A revolutionary way to improve effectiveness through
client-directed, outcome informed therapy by B. Duncan, S.
Miller, J. Sparks, G. Jackson, R. Greenberg, K. Kinchin. Jossey Bass,
San Francisco 2004
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